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UMAIR SHEIKH M.D.
NPI 1831509918
Emergency Medicine in Methuen, MA

Active since April 29, 2014PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating

NPPES record last updated: September 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2018, Aug 25, 2017 (2 updates tracked since 2017).

About Umair Sheikh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UMAIR SHEIKH M.D. (NPI 1831509918) is an individual emergency medicine provider in Methuen, Massachusetts, licensed in Massachusetts (274951) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831509918
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameUMAIR SHEIKHCredential: M.D.
Location Address70 EAST STMethuen, MA 01844-4597
Mailing Address70 East StMethuen, MA 01844-4597
Phone(978) 687-0151
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 29, 2014
Last NPPES UpdateSeptember 23, 20182 updates tracked since enumeration
✔ NPI 1831509918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MA · 274951✔ Licensed in NY · 290113
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
70 EAST ST, Methuen, MA 01844
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Umair Sheikh M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911270814
PECOS Enrollment IDI20180817000962
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services45 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services39 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
34 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01844 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN REID
Nurse Practitioner (Psychiatric/Mental Health)
70 EAST ST
METHUEN, MA 01844
Essex County (978) 687-0156
QUALITY ANESTHESIA PAIN SERVICES, PLLC
Anesthesiology (Pain Medicine)
70 EAST ST
METHUEN, MA 01844
Essex County (978) 687-0156
HOLY FAMILY INPATIENT SPECIALISTS PLLC
Internal Medicine
70 EAST ST
METHUEN, MA 01844
Essex County (978) 687-0151
STEWARD HOLY FAMILY HOSPITAL, INC.
General Acute Care Hospital
70 EAST ST
METHUEN, MA 01844
Essex County (978) 687-0151
LAURA ANN GIANNOTTI
Social Worker (Clinical)
70 EAST ST
METHUEN, MA 01844
Essex County (978) 687-0151
LG NEWCORP INC
Psychiatric Unit
70 EAST ST
METHUEN, MA 01844
Essex County (978) 946-8366
JESSICA ROUSSELLE LICSW
Social Worker (Clinical)
70 EAST ST
METHUEN, MA 01844
Essex County (978) 687-0156
JEFFREY HENRY JANCO CNP
Nurse Practitioner
70 EAST ST
METHUEN, MA 01844
Essex County (978) 794-8381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Umair Sheikh's NPI number?

The NPI number for Umair Sheikh is 1831509918. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Umair Sheikh located?

Umair Sheikh practices at 70 East St, Methuen, MA 01844. The listed phone number is (978) 687-0151.

What is Umair Sheikh's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Umair Sheikh enrolled in Medicare?

Yes. Umair Sheikh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Umair Sheikh affiliated with any hospitals?

According to CMS data, Umair Sheikh is affiliated with Lawrence General Hospital.

When was this NPI record last updated?

The NPPES record for Umair Sheikh was last updated on September 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.